Figure 7.
Superantigen binds directly into the homodimer interfaces of CD28 and B7-2, triggering B7-2/CD28 engagement that induces an inflammatory cytokine storm. Schematic diagram showing the interaction of a superantigen, SMEZ, with CD28 on the T cell and B7-2 on the antigen-presenting cell (APC). For clarity, the second monomer in the CD28 homodimer and engagement by SMEZ of TCR and MHC-II molecule were omitted. (A) Formation of the B7-2/CD28 costimulatory axis enables expression of inflammatory cytokines. (B) Two superantigen molecules bind, through their accessible β-strand(8)/hinge/α-helix(4) domain (magenta), B7-2 and CD28 at their homodimer interfaces within the extracellular domains. Binding of the superantigen potently enhances B7-2/CD28 engagement and inflammatory signaling.